Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.27 / $7,920.26 / $20,400.00	Facility		$1,202.27	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $491.64 / $751.27 / $1,733.16	Professional		$491.64	$751.27	$1,733.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $639.49 / $1,046.58 / $1,602.98	Professional		$639.49	$1,046.58	$1,602.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,025.02 / $1,200.61 / $1,440.41	Professional		$1,025.02	$1,200.61	$1,440.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $731.24 / $975.28 / $1,280.09	Facility		$731.24	$975.28	$1,280.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $815.40 / $944.76 / $1,457.62	Professional		$815.40	$944.76	$1,457.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $749.21 / $1,015.65 / $1,108.18	Facility		$749.21	$1,015.65	$1,108.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $743.29 / $1,018.86 / $1,642.88	Facility		$743.29	$1,018.86	$1,642.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $913.71 / $1,099.66 / $1,513.51	Professional		$913.71	$1,099.66	$1,513.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,719.37 / $2,101.36 / $2,633.84	Facility		$1,719.37	$2,101.36	$2,633.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,006.80 / $1,290.95 / $1,735.05	Professional		$1,006.80	$1,290.95	$1,735.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $764.40 / $1,060.80 / $1,682.31	Professional		$764.40	$1,060.80	$1,682.31